RT Journal Article
T1 Social cognition deficits in borderline personality disorder: Clinical relevance
A1 Gálvez Merlin, Alejandra
A1 López Villatoro, José Manuel
A1 de la Higuera González, Pilar
A1 De La-Torre Luque, Alejandro Francisco
A1 Reneses Prieto, Blanca María Asunción
A1 Díaz Marsa, Marina Francisca
A1 Carrasco Perera, José Luis
AB Interpersonal difficulties in borderline personality disorder (BDP) have been suggested to be related to impairments in Social Cognition (SC), mainly due to deficits in Theory of Mind (ToM). However, literature is scarce and ambiguous. This work aims to study the SC impairments in BPD patients, by the specific assessment of ToM deficits, and to investigate the relationship between these SC impairments and clinical variables. 82 BPD patients with BPD and 47 control subjects were assessed with the Movie for the Assessment of Social Cognition (MASC). Clinical variables of severity, chronicity, functionality and anxious-depressive symptomatology were recorded. BPD patients had fewer correct mentalization responses and more overmentalization, undermentalization, and absence of mentalization errors than controls. Chronicity was negatively correlated with overmentalization and positively correlated with undermentalization and absence of mentalization errors. Functionality was indirectly correlated with absence of mentalization. These results confirm previous reports of alterations in SC in BPD patients. Furthermore, this study shows that SC impairments in patients with BPD are dependent on characteristics such as chronicity or degree of functionality. The different ToM profiles in patients with BPD indicate the necessity of developing variants of mentalization therapy depending on the deficits of each patient.
PB Elsevier
SN 0165-1781
YR 2024
FD 2024-01
LK https://hdl.handle.net/20.500.14352/131249
UL https://hdl.handle.net/20.500.14352/131249
LA eng
NO Galvez-Merlin, A., Lopez-Villatoro, J. M., de la Higuera-Gonzalez, P., de la Torre-Luque, A., Reneses-Prieto, B., Diaz-Marsa, M., & Carrasco, J. L. (2024). Social cognition deficits in borderline personality disorder: Clinical relevance. Psychiatry research, 331, 115675. https://doi.org/10.1016/j.psychres.2023.115675
NO Plan National de I + D + I, AES 2020–2023European Regional Development Fund (ERDF) “A way to make Europe”
NO Instituto de Salud Carlos III
NO Unión Europea
NO Universidad Complutense de Madrid
DS Docta Complutense
RD 27 feb 2026